| NPI | 1568848380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN CRUMP Pharmacist 704-221-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 25304) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-06 |